Provider Perspectives and Access to Palliative Care: An American Head and Neck Society (AHNS) Survey.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-10-07 DOI:10.1002/hed.27957

Shreya Sriram, Akua Owusu-Boahene, Rebecca A Gersten, Christine G Gourin

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引用次数: 0

Abstract

Background: To explore provider perspectives about palliative care (PC) in head and neck cancer (HNC) care.

Methods: A 25-question electronic survey was disseminated to the membership of the American Head and Neck Society (AHNS) from April 10, 2023, through June 13, 2023.

Results: Respondents were most likely to refer to PC at symptomatic disease progression (52%) or terminal diagnosis (29%) rather than at initial diagnosis (17%). Participants less likely to refer to PC were less likely to refer to symptomatic progression (8% vs. 39%, p = 0.0006) or address advance directives (62% vs. 87%, p = 0.0406). Symptom burden questionnaires were used by only 29% of respondents. Discordance was identified between self-reported and actual access to local inpatient and outpatient PC services.

Conclusions: Barriers to PC identified include a lack of established optimal timing of PC referral, a perceived lack of local access to PC, and a lack of uniform standardized assessment of symptom burden.

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医疗服务提供者的观点和姑息治疗的可及性：美国头颈部协会（AHNS）调查。

背景：探讨医疗服务提供者对头颈部癌症护理中姑息关怀（PC）的看法：探讨医疗服务提供者对头颈癌（HNC）治疗中姑息治疗（PC）的看法：从 2023 年 4 月 10 日到 2023 年 6 月 13 日，向美国头颈部学会（AHNS）的会员发放了一份包含 25 个问题的电子调查问卷：受访者最有可能在有症状的疾病进展（52%）或终末诊断（29%）时转诊至 PC，而不是在最初诊断时（17%）。不太可能转诊至 PC 的受访者不太可能转诊至症状进展期（8% 对 39%，p = 0.0006）或处理预嘱（62% 对 87%，p = 0.0406）。只有 29% 的受访者使用过症状负担问卷。自我报告与实际获得当地住院和门诊 PC 服务的情况不一致：结论：已发现的个人护理障碍包括：未确定个人护理转诊的最佳时机、当地缺乏个人护理服务以及缺乏统一的症状负担标准化评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.